Organization Active NPI

Rocking Horse Childrens Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • London, OH
National Provider Identifier
1891934618
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ROCKING HORSE CHILDRENS HEALTH CENTER
Practice address
212 N Main St
London, OH 43140-1115
Phone
(740) 845-7286
Fax
(740) 845-7499
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shonda E Wallace
Title
Cfo
Phone
(937) 324-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

212 N Main St
London, OH 43140-1115

Mailing address

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Other identifiers 1

IdentifierTypeStateIssuer
0277606MedicaidOH

Other names 4

  • Rocking Horse Center Doing business as
  • Rocking Horse Center Madison SUD Doing business as
  • Rocking Horse Community Health Center Doing business as
  • Rocking Horse Community Health Center Madison SUD Doing business as

National Provider Directory

National Provider Directory

Locations

212 N Main St
London, OH 43140
Phone (740) 845-7000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1891934618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7286",
            "fax_number": "740-845-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKING HORSE CHILDRENS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-324-1111"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocking Horse Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Center Madison SUD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Community Health Center Madison SUD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.